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目的探讨心脏彩超临床辅助诊断急性肺栓塞的应用价值。方法急性肺栓塞患者45例均行ECG、心脏彩超、X射线胸片、动脉血气分析、胸部CT、肺动脉造影检查,心脏彩超诊断结果与其他检查结果比较。结果 ECG、心脏彩超、X射线胸片、动脉血气分析、胸部CT、肺动脉造影检查诊断率分别为24.4%(11/45)、100%(45/45)、6.7%(3/45)、100%(45/45)、17.8%(8/45)、100%(45/45)。心脏彩超诊断阳性例数多于ECG、胸部CT和X射线胸片(χ2=54.6、62.8、78.8,P<0.01)。结论心脏彩超能够早期及时诊断急性肺栓塞,是临床重要辅助诊断方法。
Objective To investigate the clinical value of echocardiography in the diagnosis of acute pulmonary embolism. Methods 45 cases of acute pulmonary embolism patients underwent ECG, echocardiography, X-ray, arterial blood gas analysis, chest CT, pulmonary angiography, cardiac ultrasound diagnostic results compared with other test results. Results The diagnostic rates of ECG, echocardiography, X-ray, arterial blood gas analysis, chest CT and pulmonary angiography were 24.4% (11/45), 100% (45/45), 6.7% % (45/45), 17.8% (8/45), 100% (45/45). Cardiac ultrasound diagnosis of positive cases more than ECG, chest CT and X-ray (χ2 = 54.6,62.8,78.8, P <0.01). Conclusion Echocardiography can diagnose acute pulmonary embolism timely and early, which is an important clinical diagnostic method.